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Transcranial Doppler

Transcranial Doppler This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Transcranial Doppler sonography (TCD) is like any new procedure practiced by enthusiasts, operator dependent and propeled more by fervor than proof. All contributors agree on its advantages and limitations, including a 10% to 15% "window failure" in patients who cannot be insonated. Wechsler and Babikian advocate the use of TCD for the detection of intracranial stenosis, an unproven indication, as the basis for the use of anticoagulants, an unproven treatment. Despite the title of the contribution by Bornstein and Norris, they seem more taken by the technique's potential than by its proven clinical value. While the noninvasiveness, the repeatability, and the inexpensiveness of TCD are truly attractive, cerebrovascular disease is far too serious to base major therapeutic decisions on an unproven technique. We need more evidence not only about what can be done with TCD but what should be done with TCD. http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Neurology American Medical Association

Transcranial Doppler

Archives of Neurology , Volume 51 (10) – Oct 1, 1994

Transcranial Doppler

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Transcranial Doppler sonography (TCD) is like any new procedure practiced by enthusiasts, operator dependent and propeled more by fervor than proof. All contributors agree on its advantages and limitations, including a 10% to 15% "window failure" in patients who cannot be insonated. Wechsler and Babikian advocate the use of TCD for the...
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Publisher
American Medical Association
Copyright
Copyright © 1994 American Medical Association. All Rights Reserved.
ISSN
0003-9942
eISSN
1538-3687
DOI
10.1001/archneur.1994.00540220107023
Publisher site
See Article on Publisher Site

Abstract

This article is only available in the PDF format. Download the PDF to view the article, as well as its associated figures and tables. Abstract Transcranial Doppler sonography (TCD) is like any new procedure practiced by enthusiasts, operator dependent and propeled more by fervor than proof. All contributors agree on its advantages and limitations, including a 10% to 15% "window failure" in patients who cannot be insonated. Wechsler and Babikian advocate the use of TCD for the detection of intracranial stenosis, an unproven indication, as the basis for the use of anticoagulants, an unproven treatment. Despite the title of the contribution by Bornstein and Norris, they seem more taken by the technique's potential than by its proven clinical value. While the noninvasiveness, the repeatability, and the inexpensiveness of TCD are truly attractive, cerebrovascular disease is far too serious to base major therapeutic decisions on an unproven technique. We need more evidence not only about what can be done with TCD but what should be done with TCD.

Journal

Archives of NeurologyAmerican Medical Association

Published: Oct 1, 1994

There are no references for this article.